Because of the relatively large overcorrection it seems to be wise to seek a second opinon before proceeding with enhancement surgery. The probable results of Lasik to correct hyperopia (farsighted, longsighted) vision is quite different than correction for myopia (nearsighted, shortsighted). You will want to seek a cause for the overcorrection and how that circumstance would be avoided with an enhancement surgery.

Unfortunately I had the enhancement and I am worse.
I went from being +2 in the right eye and +1 in left to no being -2 in the right and -1 in left. It has only been 2 days, but the I feel like I screwed. I also now get a headache in between my eyes and my vision is probably 20/60.

megeed wrote:Unfortunately I had the enhancement and I am worse.I went from being +2 in the right eye and +1 in left to no being -2 in the right and -1 in left. It has only been 2 days, but the I feel like I screwed. I also now get a headache in between my eyes and my vision is probably 20/60.

You may very well be in serious trouble now. Let your eyes heal for a bit, (1 or 2 mo??) and and then please do as Glenn recommended and seek the opinion of a well qualified Corneal specialist. You may want to seek his opinion ASAP, Glenn will better be able to tell you that.

I wouldn't allow your surgeon to do ANYTHING further to you until you get a second opinion from a corneal specialist. In fact, if your doctor is competant, he should refer you to one right now. He probably should have before he did the enhancement.

Well I had my two week follow up and I was
OD -0.75 -0.50x133
OS -0.25

Now, 1 month later I see better, but not perfect. I don't think my prescription changed and I don't need glasses except at night when driving or watching TV.

I do have headaches and a very slight double vision. Plus glare.
The optometrist recommend I go see a specialist because I do have wrinkles. He said about 3 in the left eye (OS) and 8 in right eye (OD). With glasses the double vision and haze are minimal. Regardless, I saw a specialist and he said that he can't really asses my vision or what the next step would be until we fix the wrinkle issue. He recommended I have it fix ASAP. He is sending me to another Dr to smooth the flap. I have yet to see him. I have an apt next week. I was wondering
1) What is the procedure to smooth the flap. The specialist said they may be able to do it with out lifting the flap. The smoothing could take any where between 3-5 visits.
2) What complications could there be from smoothing (non surgically)?
3) What kind of recovery pain, sight issues, etc could I experience?
4) How much of a vision/astigmatism could smoothing the flap correct? If I finish after smoothing around -0.25 in both eyes I would be very happy.

megeed wrote:1) What is the procedure to smooth the flap. The specialist said they may be able to do it with out lifting the flap. The smoothing could take any where between 3-5 visits.

From the information you provided it appears that you have a significant case of Lasik macro-striae. These are relatively large folds in the Lasik flap. The very good news is that your vision is good without glasses and very good with glasses. This indicates that after the macro-striae are resolve your vision will probably be excellent.

megeed wrote:2) What complications could there be from smoothing (non surgically)?

Although the probability is relatively small, edema (inflammation) from manipulating the Lasik flap and epithelial ingrowth we be the ones the doctors will be watching to avoid. Discuss this issue with your doctor.

megeed wrote:3) What kind of recovery pain, sight issues, etc could I experience?

Expect more discomfort than with Lasik, but for the most part this should be able to be managed with pain medication. Fluctuation in vision as edema resolves would be likely.

megeed wrote:4) How much of a vision/astigmatism could smoothing the flap correct? If I finish after smoothing around -0.25 in both eyes I would be very happy.

The very small amount of astigmatism you report may be resolved during the process of resolving your macro-striae, but what is most likely to improve is the quality of your vision day and especially night.